NPI 1972770121 · live from the CMS NPI Registry
Chad Anzilotti
Dentist, General Practice in Wilmington, DE. National Provider Identifier 1972770121, active.
NPI record
| NPI | 1972770121 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1415 Foulk Rd Ste 201, Wilmington, DE 19803 |
| Practice phone | 302-230-3084 |
| Enumerated | May 15, 2008 |
| Last updated | July 2, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dentist, General Practice primary | 1223G0001X | G3-0000347 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.